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  5. RICHARD M. LENNON, DMD, PA.

RICHARD M. LENNON, DMD, PA.

Company Details

Entity Name: RICHARD M. LENNON, DMD, PA.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Dec 2002 (22 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Sep 2018 (6 years ago)
Document Number: P02000131846
FEI/EIN Number 522388452
Address: 16562 N. DALE MABRY, TAMPA, FL, 33618
Mail Address: 16562 N. DALE MABRY, TAMPA, FL, 33618
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD M LENNON D.M.D. 401(K) PROFIT SHARING PLAN 2021 522388452 2022-10-04 RICHARD M. LENNON, DMD, PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2022-10-04
Name of individual signing ZACHARY ETZKORN
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401(K) PROFIT SHARING PLAN 2020 522388452 2021-10-14 RICHARD M. LENNON, DMD, PA 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing ZACHARY ETZKORN
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401(K) PROFIT SHARING PLAN 2019 522388452 2020-10-14 RICHARD M. LENNON, DMD, PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401(K) PROFIT SHARING PLAN 2018 522388452 2019-10-08 RICHARD M. LENNON, DMD, PA 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401(K) PROFIT SHARING PLAN 2017 522388452 2018-10-04 RICHARD M. LENNON, DMD, PA 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2018-10-04
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401K P/S PLAN 2016 522388452 2017-08-24 RICHARD M. LENNON, DMD, PA 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2017-08-24
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401K P/S PLAN 2015 522388452 2016-10-10 RICHARD M. LENNON, DMD, PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401K P/S PLAN 2014 522388452 2015-10-07 RICHARD M. LENNON, DMD, PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401K P/S PLAN 2013 522388452 2014-09-22 RICHARD M. LENNON, DMD, PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature
RICHARD M LENNON D.M.D. 401K P/S PLAN 2012 522388452 2013-07-09 RICHARD M. LENNON, DMD, PA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8132699115
Plan sponsor’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325

Plan administrator’s name and address
Administrator’s EIN 522388452
Plan administrator’s name RICHARD M. LENNON, DMD, PA
Plan administrator’s address 16562 N DALE MABRY HWY, TAMPA, FL, 336181325
Administrator’s telephone number 8132699115

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing RICHARD M. LENNON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SANDERS BRIAN J Agent 16528 N. DALE MABRY HWY., TAMPA, FL, 33618

President

Name Role Address
LENNON RICHARD M President 16562 N. DALE MABRY HWY, TAMPA, FL, 33618

Vice President

Name Role Address
ETZKORN ZACHARY T Vice President 26735 SHOREGRASS DR, WESLEY CHURCH, FL, 33544

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000116406 VAN DYKE DENTAL ASSOCIATES EXPIRED 2010-12-20 2015-12-31 No data 16562 N. DALE MABRY BLVD, TAMPA, FL, 33618, US

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-22 SANDERS, BRIAN J No data
AMENDMENT 2018-09-10 No data No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-27 16528 N. DALE MABRY HWY., TAMPA, FL 33618 No data
REINSTATEMENT 2015-11-12 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CANCEL ADM DISS/REV 2006-10-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-05-02 16562 N. DALE MABRY, TAMPA, FL 33618 No data
CHANGE OF MAILING ADDRESS 2005-05-02 16562 N. DALE MABRY, TAMPA, FL 33618 No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-03-20
Amendment 2018-09-10
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-09

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SANDERS BRIAN J

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Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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